TECHNICAL VOLUNTEER
APPLICATION FORM:

Please complete all fields in this form before submitting.

About the applicant:

Name:

Address:

City/Town:

Province/State:

Postal/Zip Code:

Email:

Phone:

Fax (optional):

Emergency
Contact:

About the position

Have you read the technical volunteer position description?

YES NO

Why are you interested in volunteering with the Tetra Society of North America in this capacity?

How would this volunteer position fit into your current schedule and personal goals?

Please describe, in detail, how your skills/qualities fit the requirements of this position. (Technical designation, related work/training, etc.)

How did you hear about this volunteer position?

Related experience:

Please list any previous volunteer involvement:

Organizations, positions, dates etc.

Current employer (or if retired, immediate past):

References

Please list two references, at least one of who has knowledge of your technical
skills/abilities relevant to the Technical Volunteer position.

	NAME	CAPACITY	PHONE	YEARS KNOWN
1
2

Are you willing to undergo a criminal record check? YES NO

DO YOU AUTHORIZE THE TETRA SOCIETY OF NORTH AMERICA TO COLLECT PERSONAL INFORMATION APPROPRIATE TO THE POSITION YOU ARE APPLYING FOR CONCERNING YOUR ACADEMIC AND PROFESSIONAL BACKGROUND, AND TO VERIFY CHARACTER REFERENCES THAT YOU SUPPLIED - WITH THE UNDERSTANDING THE INFORMATION OBTAINED WILL BE KEPT CONFIDENTIAL, EXCEPT AS OTHERWISE REQUIRED BY LAW?

YES NO

I unders tand that this application does not imply acceptance to be a volunteer with the
Tetra Society of Nor th America. Selected applicants will successfully complete an
interview, reference checks, and par ticipate in appropriate orientation and training.
Signing below indicates unders tanding of this process, and declaration that the
information provided on the form is t rue to my best knowledge.

DATE:

APPLICANT'S SIGNATURE: